@article{fb516777b53c49b89e55c6f4694f2f1c,
title = "Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan",
abstract = "Background: To examine the association between health literacy, level of disease knowledge, and adherence behavior among patients with type 2 diabetes. Methods: A cross-sectional survey study of 1059 Mandarin- and Taiwanese-speaking patients aged 20 years or older with type 2 diabetes was conducted. The demographic profiles of the sample strata were determined by analyzing the Taiwanese National Health Insurance Database. Participants were enrolled and completed questionnaires between April and November of 2015. The patients were assessed using a self-developed questionnaire with high internal consistency (KR-20 =.84). Results: Construct validity was supported by Confirmatory Factor Analysis. Respondents scored lowest in diet-related knowledge. Health literacy and diabetes knowledge were significantly greater when patients cared for themselves with additional caretaker assistance. Patient age, gender, and educational attainment were associated with adherence behavior. Conclusion: This study conducted a nation-wide survey of patients with diabetes and the results showed that respondents possessed fairly strong diabetes-specific health literacy and knowledge. However, health literacy shouldn't be assessed as an isolated concept. Instead, it should be assessed in conjunction with adherence behavior.",
keywords = "Adherence behavior, Diabetes-specific health knowledge, Diabetes-specific health literacy",
author = "Yeh, {Jue Zong} and Wei, {Chung Jen} and Weng, {Shuen Fu} and Tsai, {Cheng Yu} and Shih, {Jia Hui} and Shih, {Chung Liang} and Chiu, {Chiung Hsuan}",
note = "Funding Information: Results: Construct validity was supported by Confirmatory Factor Analysis. Respondents scored lowest in diet-related knowledge. Health literacy and diabetes knowledge were significantly greater when patients cared for themselves with additional caretaker assistance. Patient age, gender, and educational attainment were associated with adherence behavior. Funding Information: To address the high risk of poor diabetes management, the Taiwanese government introduced the {\textquoteleft}Diabetes Shared Care Model{\textquoteright} in Yi-lan County in 1996 and implemented it in all other counties by 2002. The Shared Care Model as well as the Diabetes Medical Quality Improvement Project (DMQIP) are funded by the National Health Insurance program to encourage trained medical professionals to utilize standardized teaching materials and care protocols to educate patients with diabetes, as well to promote checking patients{\textquoteright} HbA1c regularly. As of 2015, 42.99% of all patients with diabetes were covered by the DMQIP [12]. 30% of patients covered by DMQIP reached the optimal HbA1c by utilizing collaborative interdisciplinary care with the involvement of physicians, nurses, pharmacists, and official/unofficial social support systems [13]. Publisher Copyright: {\textcopyright} 2018 The Author(s).",
year = "2018",
month = aug,
day = "24",
doi = "10.1186/s12889-018-5972-x",
language = "English",
volume = "18",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",
}
